For many years, the standard therapy in the hair loss industry has been hair transplant. Unfortunately, it is never advisable for someone in their early 20s to get a hair transplant. The simple reason is when you are losing hair as quickly as you are, there aren’t enough hairs to cover the area of hair loss. I’m a board certified cosmetic surgeon. I trained in the time when hair transplants were done with big, round plugs that were taken out and placed in the scalp. I’ve lived through the different evolutions including micrografts, minigrafts and now follicular unit extraction. These are all great advancements and certainly the procedure has improved in some ways. However, regardless of the technology and the names, there’s only one simple physiologic reality - your donor area or the area at the back of the scalp has limited number of hairs. In our practice, we developed a treatment called Hair Regeneration. In fact, we developed a company at this point called Trichostem® Hair Regeneration because of its success. Essentially, we’re trying to bring the technology and methods to treat hair thinning by not doing hair transplant but using an injection treatment. This treatment has a combination of platelet-rich plasma (PRP) derived from your own blood combined with Acellular matrix which is a wound-healing agent. Close to a 100% of our male patients see improvement. I’m always anxious to help people understand that the earlier we catch someone, the better the results. If we can catch somebody as young as 18, we treat them. We haven’t treated anyone under 18 for pattern hair loss but we do treatment in this age especially when there’s clearly a family history which we can confirm either from microscopic or biopsy. You would be a better candidate for treatment like Hair Regeneration although we can never guarantee success. Sometimes, people are losing hair very aggressively and we may not catch them soon enough to get back as much hair as we would like. Certainly I would say that this is a better option to consider than a surgical hair transplant. At this point, it’s advisable that you learn more about these options. You should also think about finasteride, but I’m not sure if it’ll be of any value to you. However, in our practice, patients who come to us from all over the world are very much against the use of finasteride because of fear of long-term sexual side effects. Clearly, we have been able to improve that our treatment works independent of pharmacologic assistance. I hope that was helpful, I wish you the best of luck, and thank you for your question. This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.